Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $57.39 / $107.15	Professional		$52.21	$57.39	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $134.90 / $274.23	Professional		$56.95	$134.90	$274.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $64.27 / $235.73	Facility		$56.95	$64.27	$235.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $108.28 / $564.65	Professional		$56.95	$108.28	$564.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $134.90 / $274.23	Facility		$56.95	$134.90	$274.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $134.90 / $274.23	Professional		$56.95	$134.90	$274.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $61.50 / $61.50	Professional		$61.50	$61.50	$61.50
United Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $86.43 / $139.41	Professional		$55.39	$86.43	$139.41